Individual
BRUCE WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
85-888 FARRINGTON HWY, WAIANAE, HI 96792-2403
(808) 696-9498
Mailing address
86-226 FARRINGTON HWY, WAIANAE, HI 96792-3128
(808) 696-9498
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
LCSW-5142
HI
Other
Enumeration date
08/26/2021
Last updated
04/06/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us